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1508232893
JODI LYNN JOHNSON
WHITE CITY, OR
NPI
1508232893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 3266)
Enumeration Date
2015-08-20
Last Update Date
2022-03-22
Business Address
Dr. JODI LYNN JOHNSON Psy.D.
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
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Mailing Address
Dr. JODI LYNN JOHNSON Psy.D.
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-239-3700
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